HomeMy WebLinkAbout11-12-10J 1505610101
REV-1500 ext°,_1°~ ~
PA Department of Revenue pennsylvarda
Bureau of Individual Taxes °'"" "`"' ` "`""`
Po Box z8osot "INHERITANCE TAX RETURN
Harrisbu , PA t iz8-o6oi RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Sociai Security Number Date of Death MMDDYYYY
Date of Birth
220-54-3256 0
OFFICIAL USE ONLY
County Code Year File Number
~! _1 r~ D 5 ~-I
MMDDYYYY
5/21/2010 04/06/1930
Decedent's Last Name
Suffix Decedent's First Name
PURSEL MI
MYONG Y
(If Applicable) Enter Survivtng Spouse's Information Below
Spouse's Last Name
Suffix Spouse's First Name
MI
Spouse's Sociai Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WIT
REGISTER
FI H THE
OF WILLS
LL IN APPROPRIATE OVALS BELOW
OD 1. Original Retum O 2. Supplemental Retum
O 3. Remainder Retum (date of death
O 4. Limited Estate O 4a. Future Interest Compromise (date of Prior to 12-13-82)
death after 12-12-82)
O 6. Decedent Died Testate O 5. Federal Estate Tax Retum Required
O 7. Decedent Maintained a Livin Trust
(Attach Copy of Will) (Attach Copy of Trust) g 0
8. Total Number of Safe Deposit Boxes
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95) O 11. Election to tax under Sec. 9113(A)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFID
N
ame
ENTIAL TAX INFORIMATION SHOULD BE DIRECTED T0:
W SCOTT STARUCH Daytime Telephone Number
(717) 975-0600
N
_~-~
ca
~
REGISTER O~YI~Lyg USE O~ ~--. ;-=j
First line of address C`..? ,; , ,, ;-~
LAWS STARUCH & PISARCIK I '_ ~ '~
%++ i - L -.. t7
- `
Second line of address N
~ ~
_, ~„ { t
~_ ~
20 ERFORD RD STE 305 {
~
~ ~~ ~ 'Ca
~
_ ,
=-~ ~
i I
~ ?
City or Post C~ce ,_
. ,..
~_, =1 ;"; ; _- : -:-t ,
State ZIP Code
LEMOYNE DA•I~FILED ~~ ~••`~ C_7
,sa
PA 17043
Correspondent's e-mail address: LSPLAW AgL.COM
Under penalties of perjury, I declare that 1 have examined this return, mcludi
it is true, correct and complete. Declaration of preparer other than the ~ accompanying schedules and statements, and to the best of m know)
personal representative is bas
lief
d
SIG
a
e
on all
RE OF P S RES NSIBLE FOR FILING RETURN ,
information of which preparer has any kn~
edge
ADDRESS DATE
~~ ~ _ /
214 EV1l~~p~-RI-~HANICSBURG, PA 17055
n~~Rese--/ __ /r c/ / o
20 ERFORD RD, STE 305, LEMOYNE, PA 17043
PLEASE USE ORIGINAL FORM ONLY
L_._ Side 1
1505610101
1505610101 J
L
1505610105
REV-1500 EX
Decedent's Social Security Number
Decedent's Name; MYONG Y. PURSEL 220-54-3256
RECAPITULATION
1. Real Estate {Schedule A) ............................................. 1.
170, 000.00
2. Stocks and Bonds (Schedule B) ....................................... 2.
0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3,
0.00
4. Mortgages and Notes Receivable (Schedule D) ........................... 4.
0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5,
70,812.46
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... g.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property 0.00
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets (total Lines 1 through 7) .....
.. .
..................... 8.
9. Funeral Expenses and Administrative Costs (Schedule H) .
240,812.46
.... .
.......... .. 9'
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I)
17,190.44
.... , , .. 10
11. Total Deductions (total Lines 9 and 10) ..
68.31
.......... .
.................... 11.
12. Net Value of Estate (Line 8 minus Line 11) .....
17,258.75
.... .
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 12
an election to tax has not been
d
223,553.71
ma
e (Schedule J) ...... , , . 13
14. Net Value Subject to Tax (Line 12 minus Line 13) .. 0.00
..... .
................ 1a.
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
223,553.71
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_ 0
00
.
15.
16. Amount of Line 14 taxable
at lineal rate X .0 _ 0
00
.
16
17. Amount of Line 14 taxable
at sibling rate X .12 11
177
69
,
.
17
18. Amount of Line 14 taxable
1,341.32
at collateral rate X .15 212,376.02
1e. 31,856.40
19. TAX DUE .........................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
33,197.72
O
Side 2
1505610105
1505610105
s=~
C
REV-1500 EX Page 3
Decedent's Complete Address: Flle Number
DECEDENTS NAME
MYONG Y. PURSEL
STREET ADDRESS
9 FARGREEN RD
CITY
CAMP HILL srArE
PA Z1P
17011
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments (1)
A. Prior Payments 30
000
00 33,197.72
,
.
B. Discount
1, 57.8.95
3. Interest Total Credits (A + g) 12) 31, 578.95
4. tf Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3)
Fill in oval on Page 2, Line 20 to request
f 0.00
a re
und,
(4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 0.00
(5) 1,618.77
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "
"
X
IN THE APPR
1. Did decedent make a transfer and: OPRI ATE BLOCKS
a. retain the use or income of the ro
P Pedy transferred : Yes No
....................
b. retain the right to designate who shall use the ......................................................................
Property transferred or its incom
^ ^
x
e : ............................................
c. retain a reversionary interest; or ............... ^
...........................................................................................................
d. receive the promise for life of either payments, benefds or care? ...........................
2
If d
th
a
0
.
...........................................
ea
occurred after Dec. 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? . ^
............................ .
3. Did decedent own an "in trust for or ..............................................................................
payable-upon-death bank account or security at his or her death? ..............
4. Did decedent own an individual retireme
t
^
^
n
account, annuity or other non-probate property, which
contains a beneficiary designation? ...........
.....................................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is
3 percent [72 P.S. §9116 (a) (1.1) (i)J.
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)J. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)J.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)J.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)J. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
i$EV-1502 f:X + (8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ur
SCNED~lLE A
REAL ESTATE
7YONG Y. PURSEL rr~t nuMBER
All roll property owned solely or as a tenarK in common rnun ~ _ 21 10 0554
exchanged between a willing buyer and a willing seNer, neither ~ at hir market value. Fair market value is defined as the price at which property would be
Real which b 1 ~ compelled to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM wMh ~ ht of survhroroh must be discbsed on Schedule F.
NUMBER DESCRIPTION
FARGREEN RD, CAMP HILL, CUMBERLAND COUNTY, PA -DATE OF DEATH VALUE PER
°PRAISAL OF MICHAEL CONNOR, CONNOR GROUP (COPY ATTACHED)
TOTAL
(If more space is needed, insert additional sheets of the same size)
enter on line 1
VALUE AT DATE
OF DEATH
170,000.00
REV-1508 ~X + (6-98)
COMAAONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.STATE OF
SCHED~/LE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
uIYONG Y. PURSEL FILE NUN
lndude the 21 10
All pro pnooeeds of litigation and the date the proceeds were received by the estate.
Pe~Y J~~Y-owned with dpht of survhroahip must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1 • PNC BANK CERTIFICATE OF DEPOSIT # 31200183151
2 PNC BANK CHECKING ACOUNT #5140050942
3• PNC BANK SAVINGS ACCOUNT #5003749685
4. PERSONAL PROPERTY ESTIMATED VALUE AT DATE OF DEATH
VALUE AT DATE
OF DEATH
38,649.89
19, 993.87
10,668.70
1, 500.00
TOTAL (Also enter on line 5 Recapitulation) I =
(if more space ~ needed, insert addfional sheets of the same s¢e)
REV-1511 EX+ (1U-09)
Pennsylvania
~v OEPAgTMENT OF REVENUE
INHERITANCE TAX RETURN
e~~.~... RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
MYONG Y PURSEL
ITEM
NUMBER
A.
1.
Decedent's debts must be reported on Schedule I.
FUNERAL EXPENSES:
NEILL FUNERAL HOME -FUNERAL EXPENSES
2 REDEEM KOREAN CHURCH, HARRISBURG, PA -FUNERAL SERVICE
3 JUMBO RESTAURANT -HARRISBURG -POST FUNERAL LUNCHEON
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City _ State ZiP
Year(s) Commission Paid:
2• Attorney Fees:
3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
__
__ _
Street Address
_ _
City _ __ State _ ZIP
Relationship of Claimant to Decedent
4• Probate Fees:
5 Accountant Fees:
6• Tax Return Preparer fees:
~• RECORDER OF DEEDS
8 POSTAGE
TOTAL (Also enter on Line 9, Recapitulation) I;
If more space is needed, use additional sheets of paper of the same size.
~~~
FILE NUMBER
21 10 0554
6,046.10
800.00
138.62
9,750.00
378.50
63.00
14.22
17,190.44
SREV-1512 EX + (12-03)
EST
COMMONWEALTH OF PENNSYLVANW
INHERRANCE TAX RETURN
SCHEDULE /
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
~ • • v VVVT
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses,
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
ALERT PHARMACY -LAST PHARMACY BILL
68.31
TOTAL (Also enter on line 10, Recapitulation)
(tf more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (O1-10)
Pennsylvania SCHEDULE ~
DEPAgTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF:
MYONG Y PURSEL ALE NUMBER:
21 10 0554
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Do Not List Trustee(s) OF ESTATE
Sec. 9116 (a) (1.2).]
1• JUNG SEOK 0 2-237 GARIBOND-DONG, CURD-GU, SEOUL, KOREA SIBLING
11177.69
2 SAMUEL SAEWOON 0, 214 EWE RD., MECHANICSBURG, PA 17055 COLLATERAL
212376.02
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
If more space is needed, use additional sheets of paper of the same size. ~
gun. 14. t(t10 S::~AM PNC BANK 412-745-~i4~
~~
tEAON~TNEIwIY
Junc 8, 2010
Samuel Saewoon O
., Zla Ew+e Rd
Mechaonirsbtng, PA 17055
RE: ~tya®g Y Putxl
SSN: 220-54-3256
DOD: OS-21-2010
Dear Mr. O:
Vo.4(~34 P. ~;
In reaponse to pour noquest fur Date of Death (DOD) balances for the ccatomer noted about, our
records show the fodlowit~g:
Certlikuite o~ Depeait
Account # 31200183151 Establisbod: 04-06-2000
MYONG Y PLIRSII,
DOD balance: S 38,525.02 + 124.Sr accra~ed iabm~est
Checking AccoIInt
Account # 5140050942
MYONG YOL PUR3EL
DOD balance: $19,993.38 + 0.49 accn~od interest
Sawlmtp Acooae~t
Account #5003749685
MYONG Y PUR3F.L
DOD balance: S 10,667.65 + 1.05 accrued it
Established: OS-01-ig72
Established: iQ-18-2001
Please note that this officx provides date of death b~alaa~ces for dapoat aaeonnts (IltAs, CDa, Checlci~ ~md
Swings). We do eat praoas ae7 Biel traeadioea er pews statea~eb, Ifya~t Deed a9,9istanoe with
+~Y ~ itzms. phase all l-fiS-PNC-BANK (1-8$&762 2265) or,~top by your local pNC Bank b~ch
o$'ice.
Sincerely,
National Financial Services Canyer
PNC 13ttnk, N.A. Member FDIC
Page 1 of 1
e~
CONNOR GROUP
File No. PURSEL
tannic Mae Form 1004 March 2005
ClickFORMS Appraisal Software 800-622-8727 page 1 of 20
CONNOR GROUP
File No. PURSEL
ClidcFORMS rann~e Mae Form 1004 March 20pg
Appraisal SoRware 800-622-8727 oe„e _, __
e
CONNOR GROUP
File No. PURSEL
rarlnlE M8E Fpm 1004 Man;A 2005
ClidcFORMS Appraisal Software 800-822-8727 Page 3 of 20
CONNOR GROUP
EXTRA COMPARABLES 4-5.6
File No. PURSEL
Borrower WA Case No.
Address 9 FARGREEN ROAD
ClickFORMS Appraisal Software 800-822-8727
Page 4 of 20
Lender/Client """"" grace PA Zi Code 17011-2816
JENNIFER CAMERON Address N/A
CONNOR GROUP
unnorm
no ~~~. ruKJtL
This report form is designed to report an appreisal of a one-unR property or a one-unit property with an axessory unit;
inducting a unit in a planned unit development (PUD). This report form is not designed to report an appreisal of a
manufactured home or a unft in a condominium or cooperative project.
This appreisal report is wbject to the fdlawing amps of work, intended use, intended user, definition of market value,
statement ~ aswmptiora and gmfing conditions, and oertificatiorts. Modifications, additions, or deletions to the intended
use, intended user, definitico of market value, or assumptions and limiting conditions are not permitted. The appraiser may
expand the aoope of work to inducts any additional research or analysis necessary based on the complexity of this appreisal
assignment. Modifications or deletions to the certifications are also not permitted. However, addftional certfications that do
not oonatitute malarial akerationa to this appraisal report, such as those required by law or fhoae related to the appraiser's
continuing education or membership in an appraisal organization, are permitted.
SCOPE OF WORK: The amps of work for this appreiaai is defined by the complexity of this appraisal assignment and the
reporting requiremerns of this appraisal report form, inducting the fdlowirp definition of market value, statement of
assumptions and limiting conditions, and r;ertificationa. The appreiser must, at a minimum: (1) perform a complete visual
inspection of the interior and exterar arses of the subject property, (2) inspect the neighborhood, (3) inspect each of the
comperebk sets from at least the street, (4) research, verity, and analyze data from roliable public and/or private sources,
and (5) report his or her anaysis, opinions, and conduaions in this appraisal report.
INTENDED USE: The intended use of this appraisal report is for the lender/dient to evaluate the
wbject of this appraisal for a mortgage finance trensaction. property that is the
INTENDED USER: The intended user of this appreiaal report is the lender/dient.
DEFINITION OF MARKET VALUE: Tt,e most Probable Price ~~ a P~~ should bring in a competitive and open
market under aq conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming
the pr>ce rs rat alfecEed by undue atimulua. Implicit in this definition is the consummation of a sale as of a specified date and
the passing of title from sager to buyer under conditions whereby: (~) buyer and aelbr are lypicaly motivated; (2) both
parties are well informed or well advised, and each acting in what he or she considers hie or her own beat interest; (3) a
reasonable time is allowed for expowre in the open market; (4) payment is made in terms of cash in U. S. ddlara or in terms
~ fi artangernenls comparable thereto; and (5) the price represents the normal consideration for the property add
by special or creative finandng or sales conoessions• granted by anyone associated with the sate.
'Adjustments to the comperables must be made for speaal or creative finandng or salsa coraessions. No adjustments are
necessary for those costa which are normagy paid by sellers es a rewtt of treditan or law in a market area; these costs are
readiy identifiable since the sager pays these mats in virtualy all sabs tranaections. Specisi or aeative finandng
adjustments can be made to the compareble property by comparisons to finandng terns offered by a third party institutional
tender that is not already fnvolved in the property or transaction. Any adjustment should not be cak:ulated on a mechanical
ddlar for ddlar mat of the financing or oonoeaaion but the dollar amount of any adjustment should approximate the markets
reaction to the financing or conceasiona based on the appraiser's judgment.
STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraisers certification in this report is
subject to the following assumptions and limiting conditions:
7. The appraiser will not be responsible for matters of a legal nature that affect eitlier the property being appraised or the title
to tt. except for information that he or she became aware of during the research involved in performing this appraisal. The
appreiser aswmes that the title is good and marketable and will not render any opinions about the title.
2. The appraiser has provided a sketch in this appraisal report to show the aPProxtmate dimensions of the improvements.
The sketch is inducted ony to assist the reader in visualizing the Property and understanding the appraiser's determination
of its size.
3. The appraiser has examined the available flood maps that are Provided by the Federel Emergency Management Agency
(a other data sources) and tray noted in this appraisal report whetirer ant portion of the subject site is located in an
identified Spedal Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no uarenteea,
implied, regarding this determination. g express or
4. The appreiser will rat give testimony or appear in court because he or she made an appraisal of the Property in Question,
unbss spedfic artangernerrta to do ao have been made beforehand, or as otherwise required by law.
5. The appraiser has noted in this appreisal report any adverse conditions (such es needed repairs, deterioration, the
presence of hazardous weatea, toxic wbstanoes, etc.) observed during the inspection of the sut>jer:t Property or that he or
she became aware of during the research involved in pertorning this appraisal. Unless otixrvvise stated in this appreisal
report, the appraiser has no IvroNledge ~ any hidden or unapparent physical defidendes or adverse conditions of the
property (arch as, but not limited to, needed -ePairs, deterioration, the presence d hazardous waatea, toxic wbsta-xres,
adverse environmental corWitlona, eta) that would make the property leas valuabb, and has aswmed that there are no such
conditions and makes ra guarantees or warrenties, express or implied. The appreiaer vhll not be respons~le for any wch
onditions that do exist or for any engineering or testing that might be required to discover whether wch conditions exist.
Because the appraiser is not an expert in the field of environmental hazarla, this appraisal report must not be considered as
an environmental assessment of the property.
e. The appraiser has based his or her appraisal report and valuation mndusion for an appraisal that is subject m satisfactory
completion, repairs, or alterations on the aasumptbn that the completion, repairs, or alterations of the subject
be peAorrred in a professional manner. ProPertY will
Freddie Mac Form 70 March 2005
rmmie mae roan t(A4 March 2005
ClickFORMS Appreisal Software 000.622-8727 Page 5 of 20
4
CONNOR GROUP
me nu. rUKJtL
APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that:
1. I have, et a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in
this appraisal report.
2. I performed a complete visual inspection of the interior and exterror areas of the subject property. 1 reported the condition
of the improverrreMs in factual, specfic terms. I identified and reported the physical deficientties that could affect the
livability, soundness, or stnx;turel integrity of the property.
3. I performed Chia appraisal in accwrdance with the requirements of the Uniform Standards of Professional Appraisal
Pratkice that were adopted and promulgated by the Appreiaai Standards Board of The Appreisal Foundation and that were in
place at the time this appraisal report was prepared.
4. I deveoped my opinion of the market value of the real property that is the subject of this report based on the sales
comparison approach to value. I have adequate compareble market data to develop a reliable sales comparison approach
for fhia appraisal assignment. I further certify that I considered the cost and income approaches to value but did not develop
them, unless otherwise indicated in this report.
sale of the sum, verified, analyzed, and reported on any cement agreement for sale for the subject Property, any of-ering for
Property for abm~inimytirree ea rrrorkFrs Dior ~ ~ eRedive date of this appreisal, and the prior sales of the subjecx
y prior to the effective date of this appraisal, unless otherwise indicated in this report.
6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior
to the date of sale of the compareble sale, unless oUrerwise indicated in this report.
7. I selected and used comparable sales that are locationafiy, physically, and functionaly the most similar to the subject Property.
8. I have not used txxnparebb sales that were the resuk of combining a land sale with the oontrad purchase prime of a home that
has been bulk or will be bulk on the land.
9. I have reported adjustments to the comparable sales that refied the market's reaction to the differences between the subject
property and the oompareble sales.
10. I verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in
the sale or finarrclng of the subject property.
11. I have knowledge and experience in appreising this type of properly in this market area.
12. I am aware of, and have access to, the necessary and appropriate public and private data sourt~s, such as multiple listing
services, tax asaesameM records, public land records and other such data sources for the area in which the Property is located.
13. I obtained the infomtation, estimates, and opinons famished by other parties and expressed in this appraisal report from
reliable sources that I believe to be true and correct.
14. I have taken into consideration the fedora that have an impact on value with respet,K to the subject neighborhood, subject
properly, and the proximity of the aubjet:t property to adverse iMluenoea in tire devtslopment of my opinion of market value. I
have noted in this appraisal report any adverse conditions (sudt as, but not limited to, needed repairs, deterioration, the
presence of hazardous wastes, to~dc substances. adverse ernironmental conditions, etc.) observed during the inspection of the
subject property or that I became aware of during the research invdved in performing this appraisal. 1 have conakfered these
adverse conditions in my analysis of the property value, and have reported on the affect of the conditions on the value and
marketability of the subject property
15. I have not knowirrgy withheld any significant information from this appraisal report and, to the best of my knowledge, all
stafementa end infomletion in this appreisal report ere true and correct.
18. i stated in this appraisal report rrry own personal, unbiased, and professional anaysis, opinions, and inclusions, which
are subject only to the assumptions and limiting cortditions in this appraisal report.
17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or
P~Pedive Personal interest or bias with rasped to the perticiparrts in the transaction. i did trot base, eitirer partially or
completey, my analysis and/or opinion of marital value in this appraisal report on the reoe, odor, religion, sex, age, marital
status, hartdicap, familial status, or national origin of either the Prospective owners or occupants of the subject Property or of the
present owners or oocuparrts of the properties in the vicinity of the subject Property or on any other basis prohibited by law.
18. My employment and/or cx»rrpensation for parflpmring this appraisal or arty future or anticipated appreisals was not conditioned
on any agreamertt or understanding, written or otherwise, that I woukf report (or present anayais supporting) a predetermined specific
value, a Predeterrrrined mkrimum value, a range or direction in value, a value that favors the cause of any Party, or the attainment of a
spedfic resuk or occurrence of a specific aubaequerrt event (such as approval of a pending mortgage loan application).
19. I personally prepared a0 conclusions and opinions about the real estate that were set forth in this appraisal report, If i relied on
significant real property appraisal assistance from any individual or individuals in the performance of this appreisal or the
Preparation of this appraisal report, I have named such individual(s) and disclosed the spedfic tasks performed in this appraisal report.
i certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make a change to any item
in this appraisal report; therefore, any change made to this appreisal is unauthorized and I will take no responsibility for it.
20. I kJermtified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that
OfdBred and VNII ttarniva fhia ann.si.ai .e......
Freddie Mac Form 70 Mach 2005
rime eras corm 7 W4 March 2005
ClickFORMS Appraisal Software 800-622-8727 Pape 8 of 20
CONNOR GROUP Fib No. PURSEL
.:a__.:_..__~:_ _.. Cane No.
21. The IendeNdbnt may diadose or distribute this appraisal report to: the borrower, another tinder at the request of the
borrower, the mortgagee or its aucoessore and assigns; mortgage insurers; government sponsored enterprises; other
secondary market participants; data cdbdion or reporting services; professional appreisal oryanizations; any department,
agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to
obtain the appraiser's or supervisory appraiser's (ff applicable) consent. Such consent must be obtained before this appraisal
report may be disclosed or distributed to any other party (inducting, but not limited to, the public through advertising, public
relations, news, cabs, or other media).
22. I am aware that any disclosure or distribution of this appraisal report by me or the bnderldient may be subject to certain
laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional APpreisal Prectice
that pertain to disclosure or distribution by me.
23. Tire borrower, arattter tinder at the request of the borrower, the mo
insurers, government sponsored erne ~~ or its successors and assigns, mortgage
rpriaes, and other secondary market ParticiparHs may rey on this appraisal report as part
of arty mortgage finance transaction that involves any one or more of these parties.
24. If this appraisal report was trenamitbd as an "electronic retard" containing my "ebdronic sgnature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimib transmission of this
appraisal repcxt containing a copy or representation of my signature, the appraisal report shell be as efTedive, anforceabb and
valid as if a paper version of this appraisal roport were delivered containing my original hand written signature,
25. Arty intentional or neglgent misropreaentation(s) contained in this appraisal report may result in dull liability andlor
criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States
Code, Section 1001, et seq., or similar state laws.
SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that:
1. I directly supervised the appraiser for this appraisal assignment, have read the appreisal report, and agree with the appraiser's
analysis, opinions, str»ements, conduaions, and the appraiser's certification.
2. i accept full responsibility for the contents of this appreisal report inducting, but not limited to, the appraiser's anaysis, opinions,
statements, conclusions, and the appraisers certification.
appraiael)~, is gwiifi~ed to~pantorm thin I report Is either asub-contractor or an emPloYee of the supervisory appraiser (or the
appraisal, and is acceptabb to pertortn this appraisal under the applicabb state law.
4. This appraisal report complies with the Uniform Standards of Professional Appreisal Practice that were adopted and
Promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal
report was prepared.
5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are
defined m applicabb federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this
appraisal report containing a copy or representation of my signature, the appreisal report shall be as affective, enforceable and
valid as if a paper version ~ this appreisal report were delivered containing my original hand vaitten signature.
APPRAISER SUPERVISORY APPRAISER (ONLY IF REQUIRED)
Srg re _.
Name MICHAEL CONNOR
Company Name CONNOR GROUP
Company Address 3330 DERRY STREET
HARRISBURG PA 17111
Tebphone Number 717-581-8587
Email Address C2ICONNORt>?AOL COM
Data of Sgnature and Report June 17, 2010
Effective Date of Appraisal JUNE 1.2010
State Certification f RL-000784-L
or State License
or Other (describe)
State PA
State ft
Expiration Date of Certification or License 8!30/2011
ADDRESS OF PROPERTY APPRAISED
9 FARGREEN ROAD
CAMP HILL PA 17011-2818
APPRAISED VALUE OF SUBJECT PROPERTY S 170.000
LENDER/CLIENT
Name
Company Name JENNIFER CAMERON
Company Address N/A
Email Address
Name
Company Name
Company Address
Tebphone Number
Email Address
Date of Signature
State Certification #
or State License ~
State
Expiration Date of Certification or License
SUBJECT PROPERTY
8 Did na inspect sut>jed properly
Did inspect exterior of subject property from street
Date of Inspection
Did inspect interior and exterior of subject property
Date of Inspection
COMPARABLE SALES
Did not inspect exterior of comparebb cabs from street
Did inspect exterior of comparebb sales from street
Date of Inspection
Freddie Mac Form 70 March 2005
Fannie Mae Fonn 1004 March 2005
ClidcFORMS Appreisal Software 800622-8727 Page 7 of 20
CONNOR GROUP
SUBJECT PHOTO ADDENDUM File No. PURSEL
Bortower N/A Cane No.
P~apeAvAddress 9 FARGREEN ROAD
G_ yl CAMP HILL Coumy CUMBERLAND Sfale PA Lp Code 17011 2618
LerWer/Cl~enl JENNIFER CAMERON Address N/A
FRONT OF
SUBJECT PROPERTY
9 FARGREEN ROAD
CAMP HILL, PA 17011-2818
REAR OF
SUBJECT PROPERTY
STREET SCENE
Page 8 of 20
1.11CKhVKMS Appraisal SOflNrafe 800-822-8727
CONNOR GROUP
SUBJECT PHOTO ADDENDUM File No. PURSEL
Borrower N/A Case No.
ProoertvAddress 9 FARGREEN ROAD
City CAMP HILL Courtly CUMBERLAND Stale PA Zio Code 17011 2816
Lender/Clrent JENNIFER CAMERON Address N/A
KITCHEN
DINING ROOM
BATHROOM
Pape 9 W 20
~.ncacrvrcnns /ipprareal SoRware 800-622-8727
CONNOR GROUP
SUBJECT PHOTO ADDENDUM File No. PURSEL
Case No.
Bortower NIA
ProDertY Address 8 FARGREEN ROAD
CiH CAMP HILL County CUMBERLAND Shale PA L'o Code 17011 2616
LeriderlCl~ent JENNIFER CAMERON Address N/A
ADDITIONAL FRONT VIEW
~ngcrvrtMS Appreisal Software 800.622-8727
Page 10 of 20
W
CONNOR GROUP
COMPARABLES 1-23 File No. PURSEL
Bortower N/A Case No.
Property Address 9 FARGREEN ROAD
CAMP HILL CouMY CUMBERLAND State PA zlpt;ode 170112818
LerMer/gbnt JENNIFER CAMERON Address N/A
COMPARABLE SALE * 1
21 FARGREEN ROAD
CAMP HILL, PA 17011-2103
COMPARABLE SALE • 2
530 BRENTWATER ROAD
CAMP HILL, PA 17011-2103
COMPARABLE SALE i 3
503 COLONY ROAD
CAMP HILL, PA 17011-2103
Pape 11 of 20
C:IIgcFORMS Appraisal Sollware 800-822-8727
CONNOR GROUP
COMPARABLES ~-6~ File No. PURSEL
Case No.
Borrower N/A
ProDerN Address 9 FARGREEN ROAD
GlY CAMP HILL Gwrnv CUMBERLAND State PA Z1D Code 17011 2816
LerbedClient JENNIFER CAMERON Address N/A
COMPARABLE SALE i
23 BRENTWOOD ROAD
CAMP HILL, PA 17011-2103
COMPARABLE SALE /
34 FARGREEN ROAD
CAMP HILL, PA 17011-2103
COMPARABLE SALE tX
~ncicrvrcmS nppre~sal Software 800-822-8727 Page 12 of 20
CONNOR GROUP
USPAP COMPLIANCE ADDENDUM File No. PURSEL
APPRAI8ER'3 CERTIFICATKNd:
The folbwing Certfiration statements are in addition to and may supersede the signed Appreiaer's Certification attached to this appraisal report.
This Appreiser'a Certification is compliant with the current edition of the Uniform Standards of Professional Appreisal Practice.
1 certify that, to the best of my knowledge and belief:
The statements of fad contained in this roport are true and correct.
The reported anayaes, opinions, and conduaions are limited ony by the reported assumptions and limiting conditions and are my personal ,
impartial, and unbiased profeaaional anaysers, opinions, and condusions.
I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved.
I have no bias with respect to the property that is the subject of this report or to the parties invoved with this assignment.
My engagement in this assignment was not contingent upon developing or reporting predetermined results.
My compensation for completing this assignemevlt is not contingent upon the devebpment or reporting of a predethrmined value or direction in
value that favors the cause of the diem, the amount of the value opinion, the attainment of a stipulated r~uti, or the occurrence of a subsequent
event directly related to the intended use of this appreisai.
My analyses, opinions, and condusiona were developed, and this report has been prepared, in conformity with the Uniform Standards of
Professional Appaisal Practice.
I QX have Q have not made a personal inspection of the property that is the subject of this report (If more than one person signs this certifxartbn,
the certfication must dearly spercify which individuals did end which individuals did not make a personal inspection of the appraised property.)
No one provided significant real property appreisal assistance to the person signing this certification. (If there are exceptions, the name of each
individual providing signficant real property appraisal assistanoe must be stated.)
PURPOSE, INTENDED U8E, AND INTENDED U8ER OF THE APPRAI8AL:
The purpose of the appreisal is to estimate the market value of the subject property, as defined in this roport, as of the eRecxive date of this report.
The inbrrded use of the appraisal is tD assist the diem and any other intended users in the underwriting, approval, and funding of the rtrortpage loan.
The intended users of this report are the stated diem and any other institutions involved in the underwriting ,approval, and funding of the mortgage
loan. No one else, inckrding the purr:haser and seller, should ray on the estimate of value or any other conclusions oonmined in this appreisal report.
ANALY8IE AND REPORT FORM:
The appreisal is based on the information gathered by the appreiaer from public records, other identified sources, inspection of the subject property
and neighborhood, and selection of comparebb sales, listings, and/or rentals within the subject market aroe.
The original source of the compareble data described in the Data Souroe section of the market grid akxrg with the source of oonfirrrration provided,
whero available, the original source is presented first. The sources and data are considered reliable. When corMiding information was provided, the
source deemed most rolisble has been used. Data believed to be unreliable was not inducted in the report or used as a basis for the value
oondusion. The extent of the analysis to this assignment is stated in the Appreisers Certification inducted above and attad~ed to this report.
DEFINITION OF INSPECTION:
The term "Inspection^, as used in this art, is not the same level of inspection that is required fora "Professional Home Inspection". The appraiser
does not +uty inspect the electrical system. plumbing systems, mechanical systems. foundation system, floor structure, or aubfloor. The appraiser is
not an expert in oonatrudion materials and the purpose of the appreisal is to make an economic evaluation of the subject Property. If the diem
needs a more detailed inspection of the property, a home inspection, by a Professional Home Inspector, is suggested.
DKiITAL t3KiNATURES:
The aignaturo(s) affixed to this report, and certification, were applied by the original appraiser(s) or supervisory appraiser and represent their
acknowledgerr-enta of the fads, opinions and corrdusions found in the report. Each appreiaer(s) applied his or her signature electrorricatiy using a
Password erxxhyypted method. Hence these signatures have more safeguards and tarty the same validity as the irtdividuafa hand applied apnature.
If the report has ahand-applied signature, this comment does not appy.
OPINION OF MARKET VALUE VS ESTIMATE OF MARKET VALUE:
The current Uniform Standards of Professional Appreisal Practice defines the market value conclusion as an opinion of market value and not an
estimate of market value.
THREE YEAR 8ALE3 HISTORY FOR THE 8U8JECT PROPERTY:
The appreiaer has complied with Standards Rule 1-5b and 2-2b (br) requiring the appreiaer to anayze and report all sales of the subject property
that oaxrrred within the three (3) years prior b the effective date of the appraisal. If this information wee available to the appreiser(s), ft is reported
in the subject cdumn of Sales Comparison Analysis section of the appreisal report.
EXP08URE PERIOD:
By studying the sales of similar compareble residential properties with value renges as identified in the Neighborhood section of this report and
discussions with individuals krtovNedgeable of Current neighborhood trends in the subject area, the appreiser feels that the exposuro time for the
subject Prof i eqr to in~bi~ed Markerting Time identified in Uie Neighbortaod section W this appraisal report.
Sr~nature \/~
Name MICHAEL CONNOR
Date ReDOR Signed June 17 2010
State Certrficatlon ~ RL-000794-L State PA
Or State Lrcense ~ Slete
Signature ^ Did ~ Did Not
Name Inspect Property
Date Report Signed
State Certification * State
Or State License #r State
_.._.. _......,..,,'..o.~..,......a~e vvv-occ-oiu Page 13 of 20
~;
CONNOR GROUP
LOCATION MAP ADDENDUM File No. PURSEL
8arower N/A Case No.
~Y A>>d~ess 8 FARGREEN ROAD
Gty CAMP HILL CourdY CUMBERLAND Stale PA ZiDCode 170112818
LerbedCl~ent JENNIFER CAMERON q~~ wq
~ ~~'z
(~;` o ~
4 :d ~ .:,ydb~ ' 11
. ~ ~"'-
' ~; .
~, '
9 ~ - - .Y
W
t ~~
py~. - '-~~ T `-
# _ ~ ~~s.
S~ `
~. T~`.
~„ ta~~ .;~ `,Ma=o
~ ;~
~ ,~ ~ -
~__ SALE 4
~~
- ~
~. ~ ~ ~~
~, _t
~'
~~ ,~ ~ _
~~ ~,
;; ~' -_ _ -
~`
~~ ~ f 15~,
:-
_j
SALE 3 - ~. - .Lemoyne
SP~~ . ' `~ I~`?~~--`~1 ~~~°~' ~ ~`' ~ =fit -- ~~.
~~
~,l'~ea'~ ~ ---,, ~-~~~ I ,. _~ '~' i 4--
~, „ ,,
i F - ,~
I~ ~ _ _ ',
. iossl
~' F' F ~ ~ ~ ~alrx~ $t
.•i I IF
.- ~ _ .._.. I i A . ' . '.
i ~ 1 1 _ ~.,. W+
,.-._. 1i... _~ _...~ a ~_ ~ _T
~ - : ~ . ~
i --~
~ ~ _ `~
':~( ~$. ~, -', Fiala ,~~F'
~~ .rs"
~~ ' -~,~ i L_ Fields }^ ;:
,.
~. J.f~ ~_ ~' __ ~ 8
~ _ _
~OlOBilicro ,Cap Q,,^jerT~gs~" f <:a .°. ~, ~g~+~3,
,-.
ClickFORMS Appraisal Software 80022-8727 Page 14 of 20
CONNOR GROUP
SKETCH ADDENDUM File No. PURSEL
Borrower WA Case No.
ProDerlvAddress 9 FARGREEN ROAD
City CAMP HILL Courtly CUMBERLAND Stale PA Zw Code 17011 2816
LendedCllent JENNIFER CAMERON Address N/A
.,.~..~.~ ...~...~., ..ypa„a~ w~ma~e ouu-oc[-orci PegC 15 O( 20
CONNOR GROUP
Market Conditions Addendum t0 the Ftle ~• PURSEL
praisal Report Cane No
tt~ ~ ~»,
..._ ._. ~--- ° .°- .......^~...,,, N ~ rnvrn,o uti ~ n+an~aan wrai a dear ana accurate Ia10&Stafldlrq Of Ilia marital trends and conditions prevalent in the subject
txxhood. This is a Bred addendum for all wtlh an effective date on or alter 'I 1 2009.
Address 9 FARGREEN ROAD Ci CAMP HILL Stale PA ZIP Code 17011-2818
Bonower N/A
Nntructlorrc: The appraiser must use the inbnriation requtred on Ibis form as the basis for hiSRier contusions and must provkle support for tliose cortcNtsioris, regarding
liouskg trends and overall market conditions as -ePorled in the Neighborfgod setion of the appraisal report tam. The appraiser must titl in all the trtbrmation b the extent
ft LS available and reliable and must provide analysis as indicated below. H any required data is unavailade or is considered unreNable, the appraiser must provide an
explanation. tt is recagn¢ed that not all data souces witl be able b provide data for the shaded areas fxgow; # ft ~ available, however, the appraiser must triclude that data
rn the analysis. fl data souros provide all the required iMormation as an
average. Sales and average instead of the melon, the appraiser stioukf report the available Apure and identify it a, an
tistirips must be properties That compete with the subject property, detenriined by applying the txiteria that would be used by a prospecdre buyer of the
.The must ain an anomalies in the data such as seasonal markets view constrtrctiori bretosures dc.
Prbr 7-12 Months Prior 4$ Months CumeM • 3 Months Overall Trend
Total # of Sales Settled 14 1 18 X I $~ pgctld
Rab ~ bs 2.33 0.33 8.00 X I g~
Total # W Alive 1 f 18
Montlts of alai Us' s/Ab. Rafe 7 3.00 .
,. ..._ .
Prior 7-12 Moritlis Prior 4.6 Months Cunent - 3 Months Overall T~
~~ S~ Price 185 500.00 185 000.00 164 450.00 I X Stable
Median Com Sales on Market 21 4 83 Stable i
Median Usi Price 184 600.00
Median Listi on Market 1 t 43
Median Sale Price as % of Ust Price 98.2% 94.9% 99.7% I X
Setlrx- builder etc tinarrcfal assistance alent7 X Yes No OectiN X Stale I
. Ertpiain in detatl seller concessions trends for the past 12 months (eg. Set18r oonlributioris iricraased from 396 b 5%, triGeaSirg use of tiuydowns, cbeing costs
' condo tees etc.
NETARY SELLER CONCESSIONS ARE TYPICAL IN THE 3% TO 8% OF SALES PRICE RANGE GENERALLY IN THE FORM OF COST
ONTRIBUTIONS. LOCAL BUILDERS ARE OFFERING MORE SIGNIFICANT INCENTIVES EITHER IN COST ASSISTANCE OR IN
URCHASER SELECTED UPGRADES.
Are foretasure sales 0 sales a tailor in the mariteYt Yes X No tf 'n nodal the trends b lis ' and sales d forecbsed
HiLE THERE ARE REO SALES WITHIN THIS LOCALE THEY HAVE NOT AFFECTED THE SURROUNDING REAL ESTATE TO AN
NDESIREABLE DEGREE.
Cite dMa sources for above inbnnation.
ENTRAL PENN MULTI LIST. CUMBERLAND COUNTY COURTHOUSE.
Summarize the above information as support for your conclusions in the Nei~tboritood setdiori d the appraisal report form. ff you used any additional inbrtnation, such as
a<i of sales andbr red and withdrawn b bnnulale ooridusfons both an and su for r carx3usions.
HE SUBJECTS OVERALL MARKET IS CONSIDERED STABLE AS LOW MORTGAGE INTEREST RATES HAVE GENERATED
DDITIONAL PURCHASER ACTIVITY.
K the Ls a uMt in a oondortiirmrm or cqn th e ~ ~:
•
Data
Total # of Sales
' Rafe otal SaleslMonths
Tofai # d Active Usti Prior 7-12 Montlis Prbr
Months Cunertt - 3 Months Overal
I
I
- l Trend
Shade
Stable
Moritlis of lhiN Su opal slAb. Role -
Ara bredosures sales (REO sales) a facbr in the projecYt Yes No ff yes, indicate the rxrniber d REO listings and explain the bends in listings and sales
ofbrecbsed
Summarize the above bends and address the ' on the su ' unit and '
~n~re Signature
• Name MICHAEL CONNOR Su fsor Name
Name CONNOR GROUP Name
Address 3330 DERRY STREET HARRISBURG PA 1711 Com Address
Stab License/Certificatiori # RL-000794E State PA
Email Address C2ICONNOR OL.COM Stale LkenselCerliflcation # yy~
EmallAddress
,ewRS n+ac rum r r xraCn [ud CtidcFORMS Appraisal Software B00-822-8727 Fannie Mae Form 1004MC March 2009
Page 16 of 20
~_;
CONNOR GROUP
FLOOD MAP ADDENDUM File No. PURSEL
Borrower N/A Case No.
PrapeAYAddress 9 FARGREEN ROAD
City CAMP HILL Courtly CUMBERLAND Stale PA Zip Code 17011 2818
Lender/grent JENNIFER CAMERON Address N/A
--------~;-- ~-- ~~, 1 --- '
-- - -,
`'~<. ~'
a `•, '~
c
`5 i
J
_ _ 1 ~~j '
' _ ~ `4 '1
j _ _ ~~ I ' -
~. - { +Si
F`= ~
--. .1--' y ~ - ~
f I ~~~ ~.
,..` :. tit ~. V1 _ _ -- _ ~' ,' 1t~' ~1 ' S
' ~'
.i 4 ' + ( I
,~ _
t
t ~__- r_ ~' ~ ' ~ --
_ 4 ti tti ~ -~ II.~_ __i. -~- '"~
_.~--- _
~"° ~ % ~ bMARe i
I _, =i ^
Food Zones SFHA (Hood Zone): Olin
Are. irred~led rrysee~,au ilooairg W~hr7 250 ft. Of IrNJ~iple f700d 20r1e? NO
Area orYideoitne tee and eeo year ibod Cortwrxinity: 420359
ptairm CorranLlrl~y Name: EAST PENN580ROr TOWNSHIP OF
Area irrraafrd py teo~year Aooaag Zone: X Portal: 42041[ 0281E Panel Date: 03/16/2009
Area inrrdtird py t~~rar lbodirg wtn FIPS Code: 42041 Cenws Tract: 0102.02
aebo tY Hated
~~~ This Flood Report is fa~ the sok bmiRc of the Customer that ordered and paid
for the Raewrt and rs based on the prooertvnfionnation provided by the
^ Faodaafarea wtn+rebcty Heard customer. That Sratomer's use ~ this repot is sirb'ua to the terms ao»ed by
chat customer when accessing this product
No tmir~edd p
rt
i
h
d
.
a
v
s aut
orize
to use
or rely on this n~ott For env purpose. NEITHER FIRST AMERICAN FLOOD
Area ofrrde6rrmered brt pwribpilood DATA SERiJICES NOR THE SELLER OF THIS REPORT MAKES ANY
Heard REPRESENTATIONS OR WARRANTIES TO ANY PARTY CONCERIyING
Area rvt mapped or ary prplideg RNlNI THE CONTENT ACCURACY OR COMIPLETENESS OF THIS REPORT
INCLUDING ANY WARRANTY OR MERCHANTABILITY OR FITNESS
FOR A PARTI~I~q~ PURPOSE. Neither FAFDS nor the seller of this Reoor
shah have any NabiNty to any third pa-ty For anY use or mouse of this Rapper.
ClickFORMS Appraisal Software 800-622-8727
Pape 17 of 20
INSURANCE
File No. PURSEL
Case No.
Borrower N/A
PropertyAddresa 9 FARGREEN ROAD
CAMP HILL County CUMBERLAND State PA ZiD Code 17011 2618
Lender/Cllent JENNIFER CAMERON Address N/A
11/12/2889 12:26 7175588822
~/1/A
JACOB5 ItJSURANCE P!~',E 81/B1
Declarations
Agenq Branch Prefix Pdicy Numbe-
078990 969 RNP 13324228709
1. NAMED INJURED AND MAIUNO ADDRE88:
Mfchael Connor DBA: Connor Group b Michael Connor Real
EefMe Appraleala
P.O. Box 4734
Hartisburg, PA 17111
Real Estate Protessionals
Errors and Omissons Policy
Insurance is pmvitled by
Corttinerrtel Casualty Company
333 S Wsbash Ava Chicago, IL 80804,
A Stack Insurance Company
NOTICE TO POLICYHOLDERS:
The Ertors and Omissions Liabiity coverage
afforded by this policy iS on a Cbima Made
Basis. Please ravlaw the policy carefully
end discuss this Coverage wiM your
inaurena agent or txdcer.
2. POLICY PERIOD: Inception: 10/21Q009 F_xpiratpn: 10/21/2010
at 12:01 A.M. Stendsrd Time of your address shown above.
3. E_RROR8 AND OMISSIONS LIAB)LfIY:
A. Limits of Liability: Each Clakn: 51,000,000 Aggregate: 51,000,000
B. Lockbox Limk of Liability: 550,000
(SUSUMIT INCLUDED WITHIN THE LIMITS OF LIABILITY)
C. Discrimination Limits of LiabiNty: S100,000
D. Oeductittk: Each Claim: 52,500
E. First Coverege Date: 1 DI21/1996
4. PREMIUM: 5852.00
ENVIRONMENTAL HAZARDS: ~ ~
DISCRfMINATION (Optional 5100,000 SubNmit): 50.00
RESIDENTIAL OWNERSHIP: 5102.00
TOTAL PREMIUM: E954 ~
G~~rJ
Countersigned by Auttwnzetl Representative
G-128413-8
(Ed. 08/01)
_1_
164937-844544
vn..nr vr~mv nyrn magi avnwere oYV-OL[-8/Z/ F'a0e 18 M 9tl
LICENSE File No. PURSEL
Cane No.
Borrower N/A
Property Address 9 FARGREEN ROAD
Cdy CAMP HILL County CUMBERLAND g~~ pq Lp Code ~~~~ ~ 2ti18
LenderlCUent JENNIFER CAMERON Address N/A
COMMENT AppENDUM
Frle No• PURSEL
Case No.
Search Resells for the 2004 Tax Aasessmem Datapase
(Click 'Get Details' in the first column for individual listin
Owners C/O PropType P~~ LivArea CurLandVal ~~Detads D~~O Parcel ID Ma S
SaleMo SabDa SaleCe SakYr rtrpVal CurTotVal CurPrefVal AP affix HouseNo Direction Street
Approval Status
Get Dstafls 08 09-20-1850-113. ~ARGR~EN OAD PURSEL, WILLIAM F d MYONG Y Rcr1524 4b OOStat TaxEx SaleAmt
115780 180780 .21
PROPERTY CARD
ClidcFORMS Appraisal Software 800-822-8727
~ 20 of 20